Individual
NADWA ABLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11501 LORAIN AVE, CLEVELAND, OH 44111-5402
(216) 476-9930
Mailing address
11501 LORAIN AVE, CLEVELAND, OH 44111-5402
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
30.020727
OH
Other
Enumeration date
08/24/2021
Last updated
08/24/2021
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